From Medsien

Robust remote care management programs help practices provide the highest quality of care resulting in better outcomes and reduced costs.

In 2022, CMS introduced a new category of digital health services - Remote Therapeutic Monitoring (RTM) - to complement the existing suite of Remote Patient Monitoring codes covered under Medicare.

CMS reimburses for Principal Care Management (PCM) services provided to beneficiaries with a single chronic condition needing to stabilize that condition following exacerbation or hospitalization.

Remote patient monitoring (RPM) programs (a subcategory of homecare telehealth), retrieve patient health status and data readings from automated personal devices a patient has or wears at home (e.g.heart or glucose monitor).

Transitional Care Management is a program designed to support and track Medicare patients in the 30 days following discharge from a hospital or treatment facility.

The Centers for Medicare and Medicaid Services (CMS) defines chronic conditions as those in which the patient is at significant risk of death, acute exacerbation/decompensation, or functional decline, and are expected to last until the death of the patient.